NPIMap

Organization Active NPI

Insight Medical Group LLC

  • Adult Mental Health Clinic/Center
  • Hampton, NH
National Provider Identifier
1306396452
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
046771-23 Issued in NH
Legal business name
INSIGHT MEDICAL GROUP LLC
Practice address
861 Lafayette Rd Unit 6
Hampton, NH 03842-1232
Phone
(978) 267-1193
Fax
(888) 979-8717
NPI assigned
Oct 12, 2016
Reactivated
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert E Dillon Jr., NP
Title
Partner/Practitioner
Phone
(978) 267-1193

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 046771-23 NH Primary
Primary Care Clinic/Center 261QP2300X 046771-23 NH
Recovery Care Clinic/Center 261QR0800X 046771-23 NH

Addresses

Primary practice location

861 Lafayette Rd Unit 6
Hampton, NH 03842-1232

Mailing address

861 Lafayette Rd Unit 6
Hampton, NH 03842-1232
Phone (978) 267-1193

Other identifiers 1

IdentifierTypeStateIssuer
30344609MedicaidNH

National Provider Directory

National Provider Directory

Locations

861 Lafayette Rd
Unit 6
Hampton, NH 03842
Phone (978) 267-1193

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1306396452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 LAFAYETTE RD UNIT 6",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421232",
            "telephone_number": "978-267-1193",
            "fax_number": "888-979-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 LAFAYETTE RD UNIT 6",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421232",
            "telephone_number": "978-267-1193",
            "fax_number": "888-979-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "deactivation_date": "2018-09-22",
        "reactivation_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER/PRACTITIONER",
        "authorized_official_telephone_number": "978-267-1193",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NH",
            "license": "046771-23",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NH",
            "license": "046771-23",
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NH",
            "license": "046771-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30344609",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.